South Broward Hospital District
Internal Medicine, Interventional Cardiology in Hollywood, FL. Organization (NPI-2).
NPI number1487057519
StatusActive
Last updated in NPPESFeb 24, 2020
Details
- NPI
- 1487057519
- Entity type
- Organization (NPI-2)
- Legal business name
- South Broward Hospital District
- Organization subpart
- Yes
- Enumeration date
- Oct 3, 2014
- Certification date
- Feb 24, 2020
- Last updated
- Feb 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | – | – | Yes |
Other names
- Memorial Division Of Interventional Cardiology (Doing Business As)
Practice location
1150 N 35th Ave Ste 605Hollywood, FL 33021-5431
Phone 954-265-7900 · Fax 954-276-0271
Mailing address
2900 Corporate WayMpg Door D
Miramar, FL 33025-3925
Phone 954-276-5581 · Fax 954-985-7074
Other practice locations
603 N Flamingo Rd Ste 255
Pembroke Pines, FL 33028-1013
Pembroke Pines, FL 33028-1013
Phone 954-265-7900 · Fax 954-844-0839
20803 Biscayne Blvd Ste 204
Aventura, FL 33180-1429
Aventura, FL 33180-1429
Phone 954-265-7900 · Fax 954-276-0266
Authorized official
Esther Surujon
Cfo Mpg & Mpc
9542656677
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